A rare case of multiple secondary endotracheal metastasis from early stage small cell cancer

Respiratory Medicine Case Reports
S KarakattuW ElMinaoui

Abstract

Small Cell Lung Cancer (SCLC) is an aggressive malignancy with poor prognosis that accounts for 10% of all clinical lung cancer. SCLC commonly metastasizes to the mediastinum, liver, bone, adrenals, and the brain but secondary endotracheal metastasis is an especially rare occurrence. We discuss the case of a 74-year-old male with principal complaint of cough, wheezing and hemoptysis found to have secondary endotracheal lesions on bronchoscopy. A 74-year-old male, former smoker with a past medical history of pulmonary embolism, bullous emphysema, and limited stage small cell lung cancer with wedge resection and chemotherapy 3 years ago presented with cough, wheezing, weight loss and intermittent hemoptysis ongoing for few weeks. CT scan of the chest showed multiple polypoid masses arising in the anterior wall of the trachea. He underwent bronchoscopy with biopsy. Pathology was consistent with small-cell lung cancer. Secondary tracheal metastasis from early stage small cell cancer is a rare occurrence. The likelihood of tracheal metastasis of lung cancer is amplified when an endotracheal nodule or eccentric thickening of the tracheal wall is seen on CT of patients with high suspicion. It is important for clinicians to suspect end...Continue Reading

References

Dec 17, 2005·AJR. American Journal of Roentgenology·Semin ChongJoungho Han
May 14, 2008·Cancer·Bjorn I GustafssonIrvin M Modlin
Apr 1, 2014·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Alessandro MarchioniGiulio Rossi
Nov 1, 2013·Thoracic Cancer·Maryjane LieblingMahtab Foroozesh
May 1, 2018·Annals of Cardiothoracic Surgery·Maria Lucia Madariaga, Henning A Gaissert

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